Lactobacillus plantarum reverse diabetes-induced Fmo3 and ICAM expression in mice through enteric dysbiosis-related
Wen-Chung Liu1,2, Ming-Chieh Yang1,2, Ying-Ying Wu1
1Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Abstract:
Diabetes mellitus (DM) is characterized by increased fatality associated with the atherogenetic process. Circulating trimethylamine-N-oxide (TMAO) levels are closely associated with atherosclerosis. The flavin mono-oxygenase family (Fmo) members oxidize trimethylamine (TMA) to TMAO. The effect and the regulatory mechanism of intestinal microflora on diabetes-induced Fmo3 and intercellular adhesion molecule (ICAM) expression were examined in streptozotocin-induced diabetic mice (STZDM) and Akita mice (C57BL/6J-Ins2Akita). STZDM-JNK1-/- and Ins2Akita-JNK1-/- mice were produced and used to study the role of pJNK in the regulatory mechanisms. Diabetic mice exhibited decreased Lactobacilli growth and reactive oxygen species (ROS) production in the intestinal mucosa; increased levels of pJNK and iNOS proteins in the intestinal mucosa; increased levels of serum nitrate, IL-1β, and TNF-α expression in Kupffer cells; increased Fmo3 expression in the liver; and increased ICAM expression in the aorta. Reversal of diabetes-induced enteric dysbiosis by prebiotic (FOS) or probiotic (dead L. plantarum) treatment decreased diabetes-induced pJNK and iNOS expression in the intestine, Fmo3 expression in the liver, IL-1β expression in Kupffer cells, and ICAM expression in the aorta and liver. Ins2Akita-JNK1-/- and STZDM-JNK1-/- mice demonstrated decreased levels of serum NO, IL-1β expression in Kupffer cells, Fmo3 expression in the liver, and ICAM expression in the aorta. GF mice cohoused with DM mice demonstrated an increase in ICAM expression in the liver. In conclusion, diabetes induced the expression of both Fmo3 and ICAM expression and possible vascular impairment through enteric dysbiosis. Diabetes-induced Fmo3 and ICAM expression could be reversed by pJNK inhibition or by correcting enteric dysbiosis.
Insights
Diabetes alters gut bacteria, increasing trimethylamine-N-oxide (TMAO) and promoting atherosclerosis. Correcting gut dysbiosis or inhibiting pJNK can reverse diabetes-induced Fmo3 and ICAM expression, potentially preventing vascular damage.
Area of Science:
- Metabolic disease research
- Microbiome studies
- Vascular biology
Background:
- Diabetes mellitus (DM) is linked to increased atherosclerosis and fatality.
- Circulating trimethylamine-N-oxide (TMAO) levels correlate with atherosclerosis severity.
- The flavin mono-oxygenase family (Fmo) enzymes, particularly Fmo3, metabolize trimethylamine (TMA) to TMAO.
Purpose of the Study:
- To investigate the role of intestinal microflora in diabetes-induced Fmo3 and intercellular adhesion molecule (ICAM) expression.
- To elucidate the regulatory mechanisms involving pJNK in these processes.
- To assess the therapeutic potential of modulating the gut microbiota or inhibiting pJNK.
Main Methods:
- Utilized streptozotocin-induced diabetic mice (STZDM) and Akita mice (C57BL/6J-Ins2Akita), including JNK1 knockout models.
- Administered prebiotics (FOS) and probiotics (L. plantarum) to assess reversal of diabetes-induced changes.
- Analyzed intestinal mucosa, liver, aorta, and serum for markers of inflammation, oxidative stress, Fmo3, and ICAM expression.
Main Results:
- Diabetic mice showed reduced Lactobacilli, decreased ROS, and increased pJNK, iNOS, IL-1β, and TNF-α.
- Elevated Fmo3 expression in the liver and ICAM expression in the aorta were observed in diabetic mice.
- Prebiotic/probiotic treatment and pJNK inhibition normalized these markers, reducing Fmo3 and ICAM levels.
Conclusions:
- Diabetes-induced enteric dysbiosis contributes to Fmo3 and ICAM upregulation, potentially leading to vascular impairment.
- Correcting enteric dysbiosis or inhibiting pJNK offers a therapeutic strategy to reverse these diabetes-associated changes.
- The gut microbiome plays a critical role in mediating the link between diabetes and vascular complications.
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